LO, Rigid Anterior and Posterior Panels, Off-the-Shelf
Rhode Island rates for HCPCS L0642
Lumbar orthosis (LO), sagittal control, with rigid anterior and posterior panels, posterior extends from L-1 to below L-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
Rates data updated July 2026.
How much does LO, Rigid Anterior and Posterior Panels, Off-the-Shelf cost?
$240
Typical negotiated rate. In Rhode Island, July 2026.
Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $676 from a hospital or other facility. The two figures are alternatives, not parts of one bill.
These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.
Where it's billed changes the price
Billed by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$234
$209 to $302
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$676
$490 to $871
How much rates vary
Facilitymedian $676 · 10th to 90th $275 to $1,000Professionalmedian $234 · 10th to 90th $186 to $302
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$302.00
Professional
Global
$186.21
$234.42
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$707.95
Typical High
$1,000.00
Facility
Global
$645.65
$707.95
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$457.09
Professional
Global
$223.87
$263.03
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Facility
Global
$302.00
$302.00
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Professional
Global
$218.78
$218.78
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$489.78
Facility
Global
$218.78
$275.42
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$389.05
Professional
Global
$218.78
$281.84
$389.05
Where Rhode Island sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.